Talent.com
This job offer is not available in your country.
DENTAL BILLING AND INSURANCE VERIFICATION SPECIALIST

DENTAL BILLING AND INSURANCE VERIFICATION SPECIALIST

Outsource AcceleratorPasig, Metro Manila, Philippines
30+ days ago
Job type
  • Quick Apply
Job description

Position Summary :

The Billing / Insurance Verification Specialist is responsible for ensuring accurate and timely verification of insurance coverage, billing, and payment processing. This role requires a detail-oriented individual who can navigate healthcare insurance systems, interact with patients and providers, and resolve discrepancies to ensure efficient revenue cycle management.

Key Responsibilities :

Insurance Verification :

  • Verify patient insurance coverage and eligibility prior to appointments or procedures.
  • Confirm policy details, including copays, deductibles, and coverage limitations.
  • Obtain necessary pre-authorizations or referrals from insurance companies.
  • Communicate with insurance carriers to clarify benefits and resolve discrepancies.

Billing :

  • Prepare and submit accurate claims to insurance companies for reimbursement.
  • Review claims for errors, ensuring compliance with regulatory standards and insurance policies.
  • Follow up on unpaid claims, identify denials, and resolve issues promptly.
  • Maintain accurate billing records, including patient account updates.
  • Payment Posting
  • Familiarity of aging reports. Be able to analyze, update, and communicate aging report information. Insurance AR report, Office Patient Care AR report.
  • Important how they report back to the team following formats(customized to the office needs)
  • Patient Communication :

  • Notify patients of insurance coverage, copays, and potential out-of-pocket expenses.
  • Assist patients with billing inquiries, payment plans, and financial counseling.
  • Explain insurance-related terms and processes in a clear, patient-friendly manner.
  • Provide personalized guidance to help patients evaluate their healthcare needs and select the most appropriate plan.
  • Administrative Duties :

  • Maintain up-to-date knowledge of insurance policies, industry standards, and regulations.
  • Coordinate with healthcare providers and office staff to streamline billing and verification processes.
  • Accurately document all communication with patients and insurance companies in the system.
  • Generate and review reports related to billing, insurance claims, and payment status.
  • Qualifications :

  • Prior experience in dental billing , insurance verification, or healthcare administration.
  • Familiarity with medical terminology, CPT / ICD codes, and insurance billing software.
  • Proficiency in Microsoft Office Suite and electronic health record (EHR) systems.
  • Skills and Competencies :

  • Strong organizational and multitasking abilities.
  • Excellent communication and customer service skills.
  • Analytical and problem-solving capabilities for resolving billing or insurance issues.
  • High level of accuracy and attention to detail.
  • Ability to handle sensitive patient information confidentially and comply with HIPAA regulation
  • Working Conditions :

  • Working hours will adhere to US Time Zone, and must also be amenable to shifting schedule, holidays, graveyard, etc. depending on the business needs
  • Onsite
  • About the Company

    Outsource Accelerator is the trusted source for independent information, advisory and expert implementation of Business Process Outsourcing (BPO). We are the #1 Outsourcing Authority, and we offer the worlds leading aggregator marketplace for outsourcing.

    We specifically provide the conduit between Philippines outsourcing suppliers and the businesses clients across the globe. We continue to provide world-class talent to help small and medium-sized enterprises successfully build their offshore team in the Philippines.

    Create a job alert for this search

    Billing Specialist • Pasig, Metro Manila, Philippines

    Related jobs
    • Promoted
    Senior Medical Billing Specialist

    Senior Medical Billing Specialist

    Gear IncMuntinlupa, Metro Manila, Philippines
    The ideal candidates will have at least 2 years of experience in medical billing, AR Calling, Denial Management or a related field and possess strong English proficiency. As part of our client-facin...Show moreLast updated: 30+ days ago
    Billing Specialist

    Billing Specialist

    HRTXPasig, Metro Manila, Philippines
    Quick Apply
    The Billing Analyst serves as a vital resource within the Revenue Operations or Billing department.This role is crucial for the research and complex analysis of items related to customer contracts,...Show moreLast updated: 4 days ago
    Medical Billing Specialist - ISTA Solutions

    Medical Billing Specialist - ISTA Solutions

    ISTA Personnel SolutionsMakati, Metro Manila, PH
    Quick Apply
    ISTA Solutions, an outsourcing / offshoring company, is in search of an experienced.As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize em...Show moreLast updated: 30+ days ago
    Senior Team Lead, Medical Billing, AR & Denial Management

    Senior Team Lead, Medical Billing, AR & Denial Management

    Gear IncMuntinlupa, Metro Manila, Philippines
    Quick Apply
    The STL is expected to mentor team leaders, manage escalations, guide productivity, and help improve operational workflows based on data insights and volume trends. They serve as a key link between ...Show moreLast updated: 30+ days ago
    Medical Billing and Collections - (ZR_28105_JOB)

    Medical Billing and Collections - (ZR_28105_JOB)

    BruntWorkQuezon, QUE, ph
    Quick Apply
    FIXED SCHEDULE : Monday - Friday 8AM - 5PM PST with 1hr unpaid break .Medical Billing & Collections Specialist.We are seeking a detail-oriented Medical Billing & Collections Specialist ...Show moreLast updated: 19 days ago
    Dental Billing Specialist (ENG)

    Dental Billing Specialist (ENG)

    Berry VirtualMetro Manila, PH
    Quick Apply
    The Dental Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A / R). This role ensures efficient billin...Show moreLast updated: 19 days ago
    • Promoted
    Billing Specialist

    Billing Specialist

    CartrackMakati, Metro Manila, Philippines
    We are a world-leading smart mobility SaaS company with over 2,000,000 subscribers across 23 countries and we are looking for a. Our teams are collaborative, vibrant and fast-growing and all team me...Show moreLast updated: 30+ days ago
    Medical Biller

    Medical Biller

    Global Medical Virtual AssistantsQuezon, National Capital Region, PH
    Quick Apply
    A Medical Biller works in healthcare facilities and is responsible for submitting claims to insurance companies.Everyday responsibilities include processing data from medical coders, ensuring claim...Show moreLast updated: 30+ days ago
    Medical Billing Specialist (ENG)

    Medical Billing Specialist (ENG)

    Berry VirtualMetro Manila, PH
    Quick Apply
    The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A / R). This role ensures efficient billi...Show moreLast updated: 19 days ago
    Blended CSR (Insurance Verifier)

    Blended CSR (Insurance Verifier)

    E-TeleconnectParañaque, Metro Manila, Philippines
    Quick Apply
    The Insurance Verification Specialist is responsible for ensuring that patients have valid and active insurance coverage for the services offered by the healthcare facility.This role involves direc...Show moreLast updated: 14 days ago
    • Promoted
    Medical Billing Manager

    Medical Billing Manager

    Crowdsource SolutionsMakati, National Capital Region, PH
    Qualifications : • Bachelor’s degree in Business Administration, Healthcare Administration, or a related field.At least 7 years of experience in medical billing, with 3–5 years in a supervisory or m...Show moreLast updated: 30+ days ago
    Tax Filing Specialist

    Tax Filing Specialist

    Remote VAMetro Manila, PH
    Quick Apply
    Job Title : Tax Filing Specialist.We are seeking a knowledgeable and detail-oriented Tax Filing Specialist to join our team at Remote VA. In this crucial role, you will be responsible for preparing a...Show moreLast updated: 20 days ago
    Medical Billing Specialists

    Medical Billing Specialists

    BruntWorkManila, 00, ph
    Quick Apply
    Mondays to Fridays, 8 : 00 am to 5 : 00 pm, Olathe, KS (Central) with an hour unpaid break.Backend billing operations focus on some patient interaction. Potential expansion into front office tasks and e...Show moreLast updated: 12 days ago
    Billing Specialist

    Billing Specialist

    Halcyon Marine Healthcare Systems Inc.Makati, Metro Manila, Philippines
    Quick Apply
    Check referral forms per clients’ accounts.Ensure accuracy of the billing and conduct reconciliation of outstanding balance. Prepares statement of accounts per client.Accountancy, Financial & Ma...Show moreLast updated: 30+ days ago
    Billing / Receivable Specialist (Remote)

    Billing / Receivable Specialist (Remote)

    STAFFVIRTUALManila, Metro Manila, Philippines
    Quick Apply
    Job Title : Billing / Receivable Specialist.Our client is a well-established U.They are recognized for their patient-focused approach, compassionate team, and commitment to delivering high-quality car...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Sr. Billing Specialist (Hybrid Set Up)

    Sr. Billing Specialist (Hybrid Set Up)

    JK.hiring30Quezon City, National Capital Region, PH
    COMPANY PROFILE : It is one of the known IT companies in the industries that already have more than 100 years in the industry. Them provide a different kind of technology advancement to their client....Show moreLast updated: 4 hours ago
    Medical Billing Specialist | Collections

    Medical Billing Specialist | Collections

    ISTA Personnel SolutionsMandaluyong City, Metro Manila, PH
    Quick Apply
    ISTA Solutions, an outsourcing / offshoring company, is in search of an experienced.As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize em...Show moreLast updated: 30+ days ago
    Equipment Contract Billing Meter Specialist I (Remote)

    Equipment Contract Billing Meter Specialist I (Remote)

    STAFFVIRTUALManila, Metro Manila, Philippines
    Quick Apply
    Contract Billing & Meter Specialist I.Our client offers a comprehensive, human-centric suite of technology services, ranging from IT and cybersecurity to printers, copiers, and print.These solu...Show moreLast updated: 28 days ago